Individual provider Active NPI

Michael Brandon Johnson, MD

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1871753939
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A126329 Issued in CA
Practice address
9800 Broadway Extension
Suite 203
Oklahoma City, OK 73114
Phone
(405) 424-5417
Fax
(405) 424-5418
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 26521 OK
Orthopaedic Surgery Physician 207X00000X A126329 CA Primary

Addresses

Primary practice location

9800 Broadway Extension
Suite 203
Oklahoma City, OK 73114

Mailing address

9800 Broadway Extension
Suite 203
Oklahoma City, OK 73114
Phone (405) 424-5417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140729001755 OK Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1355576315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Oklahoma College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032

9800 Broadway Ext
Oklahoma City, OK 73114-6304

9800 Broadway Extension
Suite 203
Oklahoma City, OK 73114-6304
Phone (405) 427-6776

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A126329CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Physicians Group LLC Orthopaedic Surgery CurrentSince Aug 1, 2014 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Community Hospital LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

9800 Broadway Ext
Ste 203
Oklahoma City, OK 73114
Phone (405) 419-5412

Interoperability endpoints

  • Direct secure messaging: michaeljohnson@okss.allscriptsdirect.net
  • Direct secure messaging: mjohnson392605@direct.integrisok.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1871753939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 BROADWAY EXTENSION",
            "address_2": "SUITE 203",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73114",
            "telephone_number": "405-424-5417",
            "fax_number": "405-424-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 BROADWAY EXTENSION",
            "address_2": "SUITE 203",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73114",
            "telephone_number": "405-424-5417",
            "fax_number": "405-424-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "26521",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A126329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.